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Practice & Opinion of Doctors in Hospitals toward Referral System in Iraq
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Background: Primary Health care (PHC) is unanimous to be the cornerstone of a person-centered health system. While the adoption of a well-function, two-way, and organized referral system is the mainstay in the development of an efficient healthcare delivery system.  

Objective: To Assess the practice & opinion of doctors in the hospitals toward the referral system.  to determine the doctors in the hospital's commitment to referral system instructions and guidelines.

Subjects and Methods: A cross-sectional study with analytic elements was conducted in nine Iraqi governorates. Eight doctors from each health directorate, resulting in a total of 72 doctors using a specially designed questionnaire. Statistical analysis was done by using SPSS, the P≤0.05 was considered statistically significant.

Results: of the total 72 physicians, 31(43.1%) aged 40-49years, 48(66.7%) were males, and 58(80.6%) were specialists., 58 doctors (80.6%) had no coordination with the PHC-doctors, the same percentage considered the current referral system is ineffective. PHC patients-crowded, doctors-shortage were the causes of inadequately filling PHC-part of the referral form. And PHC-hospital doctors-coordination had a significant association with their age, gender, and their thinking about adequate filling.

Conclusion: despite the importance of the referral system, half of the doctors disagreed about the current referral system’s effectiveness; & most of them had no coordination with the PHC-doctors. PHC crowded/doctors’ shortage the main causes of inadequate filling PHC part of referral-form.

 

 

 

الملخص:

الخلفية: تعتبر الرعاية الصحية الأولية بالإجماع حجر الزاوية في نظام صحي يركز على المريض. في حين أن اعتماد نظام إحالة جيد ثنائي الاتجاه ومنظم هو الدعامة الأساسية في تطوير نظام فعال لتقديم الرعاية الصحية.

الهدف: تقييم ممارسة ورأي الأطباء في المستشفيات تجاه نظام الإحالة. كذلك لتحديد مدى التزام الأطباء في المستشفى بتعليمات وإرشادات نظام الإحالة.

طريقة البحث: أجريت دراسة مقطعية مع عناصر تحليلية في تسع محافظات عراقية. ثمانية أطباء من كل مديرية صحية ، مما أدى إلى ااشتراك 72 طبيبًا في استبيان مصمم خصيصًا للبحث. تم إجراء التحليل الإحصائي باستخدام SPSS ، واعتبر P≤0.05 ذو دلالة إحصائية.

النتائج: من إجمالي 72 طبيبًا ، 31 (43.1٪) تتراوح أعمارهم بين 40-49 عامًا ، 48 (66.7٪) من الذكورو 58 (80.6٪) من المتخصصين. ، 58 (80.6٪) منهم ليس لديهم اي تنسيق مع أطباء الرعاية الصحية الأولية. و بنفس النسبة يعتبرون نظام الإحالة الحالي غير فعال. ازدحام المرضى في المراكز ونقص الأطباء هي اهم أسباب نقص ملأ نموذج الإحالة الخاص باطباءالمراكز الصحية بشكل مناسب. وكان لتنسيق أطباء مستشفى الرعاية الصحية الأولية علاقة كبيرة مع العمر والجنس وتفكيرهم في الملأ االنموذجي.

الخلاصة: بالرغم من أهمية نظام الإحالة ، اختلف نصف الأطباء حول فعالية نظام الإحالة الحالي. ومعظمهم ليس لديهم اي تنسيق مع أطباء المراكز الصحية. ازدحام الرعاية الصحية الأولية / نقص الأطباء اهم الأسباب الرئيسية لضعف ملأ نموذج الإحالة.

 

 

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Publication Date
Tue Feb 28 2012
Journal Name
Arabian Journal Of Geosciences
Hydrochemistry and pollution probability of selected sites along the Euphrates River, Western Iraq
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Wed Feb 05 2025
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The impact of atheism on the individual and society, Iraq as a model
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Atheists have spread in the modern era, so that atheism has become a bad phenomenon in the world in general and in Islamic societies in particular, so the research aims to study the individual and social effects left by atheism on the atheists themselves, and the research included multiple axes: atheism linguistically and idiomatically, atheism in the Qur’an Noble and Modern (and Contemporary) Atheism Statistics: and the reasons for atheism: Studying the phenomenon of atheism in Iraq as a model, then studying the effects of atheism: on the individual first, then atheism and its impact on society, then the conclusion, recommendations, sources and references

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Publication Date
Wed Dec 30 2020
Journal Name
Iraqi Journal Of Science
Subsurface Imaging of 2D Seismic Data Using Kirchhoff Time Migration Method, Central Iraq
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Kirchhoff Time Migration method was applied in pre-and post-Stack Time Migration for post-processing of images collected from Balad-Samarra (BS-92) survey line that is sited across Ajeel anticline oilfield. The results showed that Ajeel anticline structure was relocated at the correct position in the migrated stacked section. The two methods (Pre and Post) of migration processing showed enhanced subsurface images and increased horizontal resolution, which was clear after the broadening the syncline and narrowing or compressing the anticline. However, each of these methods was associated with migration noise. Thus, a Post-Stack process was applied using Dip-Removal (DDMED) and Band-Pass filters to eliminate the artifact noise. The time-fr

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Publication Date
Wed Feb 08 2023
Journal Name
Iraqi Journal Of Science
Subsurface Investigation of Tuba Oil Field Depending on 2D Seismic Reflection South Iraq
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This study deals with the seismic reflection interpretation of Cretaceous Formations in Tuba oil field, southern Iraq, including structural and stratigraphic techniques. The study achieved by using Geofram , Geolog and Petrel software. The interpretation process, of 2-D seismic data and well logs have been used. Based on well logs and synthetic traces two horizons were identified and picked which are the tops of Mishrif and Zubair Formations. These horizons were followed over all the area in order to obtain their structural setting. Structural interpretation indicates that the Tuba oil field is an anticline structure as well as the presence of normal fault near Mishrif Formation trending NE-SW. Information from the wells appeared Mishrif

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Publication Date
Mon Mar 08 2021
Journal Name
Baghdad Science Journal
identification of fungi and their toxins associated with imported rice grain to iraq
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The study included the investigation of fungi ringed and inventory and Aflatoxins in rice and recorded average temperatures and humidity 22.75 degree Celsius and 13.2% respectively were obtained 1356 isolation innate possible diagnosis 15 species inherent in rice imported back to 8 races represented races b Fusarium , Cladosporium, Aspergillus and Alternaria

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Publication Date
Wed Dec 01 2021
Journal Name
Baghdad Science Journal
Comparison of Conventional and Aerobic Iandfill Simulator Reactors (case study; Kirkuk city, Iraq)
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Under aerobic and anaerobic conditions, two laboratory-scale reactors were operated. Each reactor
was packed with 8.5 kg of shredded synthetic solid waste (less than 5 cm) that was prepared according to an
average composition of domestic solid waste in the city of Kirkuk. Using an air compressor, aerobic
conditions were created in the aerobic reactor. This study shows that the aerobic reactor was more efficient in
COD and BOD5 removal which were 97.88% and 91.25% while in case of anaerobic reactor, they were
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Publication Date
Sat Dec 30 2023
Journal Name
Iraqi Journal Of Science
Petrophysical properties and Reservoir modeling of Mishrif Formation at Tuba Field, Southern Iraq
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Petrophysical properties of Mishrif Formation at the Tuba field determined from interpretation of open log data of(Tu-2,3,4,5,6,12,24,and 25) wells. These properties include total (effected) and secondary porosity, as well as moveable and residual oil saturation into invaded and uninvaded zones. According to Petrophysical properties it is possible to divided Mishrif Formation into three reservoir units (RU1,2,and 3) separated by four cap rocks (Bar1,2,3,and 4) . Three-dimension reservoir model is established by used (Petrel, 2009) Software for each reservoir units. Result shows that the second and third reservoir units represent important reservoir units of Mishrif Formation. Thickness and reservoir properties enhanced toward middle and

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Publication Date
Mon May 08 2017
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Comparative Study of Wells Water Quality at Almuqdadea and Alfalluja Areas – Iraq.
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Waters of some wells at Almuqdadea region Diyala province, east of Iraq have been
compared with wells at Alfalluja region, Alanbar province west of Iraq. Five wells were
selected randomly at each of the two regions to measure several factors represented by
temperature (C), P
H
, Electric Conductivity (EC), Sodium (Na),Calcium (Ca), Magnesium
(Mg),Total Hardness (TH), Carbonate (Co3),Chloride (Cl), Nitrite (NO2), Nitrate (NO3)
Phosphate (PO4) Sulfate (So4), in addition to the heavy metals such as Chromium (Cr),
Cadmium (Cd) Lead (Pb) & Iron (Fe). The mean concentration of the above factors in water
of wells at the above regions had been measured during the period from April to September
(2010).

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Publication Date
Wed Jan 12 2022
Journal Name
Iraqi Journal Of Science
Estimation of Suaeda aegyptiaca Plant distribution regions at Iraq using RS & GIS Applications
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For ecosystem functions factors monitored the natural changing of environmental systems, and the managing ability expectation or prediction the plantation regions, (e.g. desert decreasing, air pollution reducing and weather wet stabilization). How, depends on the ability to understand how a particular ecosystem functions and the automation that control the elements distribution, such as (Suaeda aegyptiaca) plant in this study. Which recognized plants Iraq native, and, that are widely found in some regions of Iraq finding randomly. Amplitude plantations regions and automation wealth can be observed diffusion and growth this plantation, as well as estimated the far-reaching and unknown locations to form control and improve environmental an

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Publication Date
Sun Mar 20 2016
Journal Name
Al-academy
Mechanisms for Development of Scenography Galleries Iraq Natural History Museum: وعد عدنان محمود
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This paper deals with the problem of the mechanics of the operation of cinematography in the development of museum exhibition halls. In the first chapter, the researcher dealt with the problem and presented it to reach the goals and purpose of the research, which was represented in using and developing the methods and mechanisms of the presentation to keep pace with what is happening in the world of technology and access to the presented model to new formula and vision declares aesthetical and cognitive measure, thus the search constitutes an importance in absorbing Scenography dimensions in the theater and moved to the idea of the museum and the development of the display models and using them in drawing and representation of perception

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